Individual
ELAINE G CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2411 FAIRLAWN, CARTHAGE, MO 64836-0054
(417) 359-8093
(417) 359-8094
Mailing address
PO BOX 54, CARTHAGE, MO 64836-0054
(417) 359-8093
(417) 359-8094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002532
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499805810
—
MO
Enumeration date
11/06/2006
Last updated
05/16/2011
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